Individual provider Active NPI

Robert Stump, M.D.

  • Anesthesiology Physician
  • Stockton, CA
National Provider Identifier
1225060510
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G46401 Issued in CA
Practice address
2626 N California St
Suite G
Stockton, CA 95204-5500
Phone
(209) 464-9846
Fax
(209) 464-4082
NPI assigned
Jul 7, 2006
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G46401 CA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X G46401 CA

Addresses

Primary practice location

2626 N California St
Suite G
Stockton, CA 95204-5500

Mailing address

2626 N California St
Suite G
Stockton, CA 95204-5500
Phone (209) 464-9846

Other identifiers 1

IdentifierTypeStateIssuer
00G464010MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090310000492 CA Practitioner - Anesthesiology 7719871987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

155 Glasson Way
Grass Valley, CA 95945-5723
Phone (530) 274-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G46401CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Apr 1, 2016 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Apr 1, 2016 Accepting new patients
Dignity Health Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
Lodi Memorial Hospital Association Inc Past Accepting new patients
Delta Radiology, Inc. Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

521 S Ham Ln
Lodi, CA 95242
Phone (209) 333-0905

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1805 N California St
Ste 405
Stockton, CA 95204
Phone (209) 870-7100

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1225060510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N CALIFORNIA ST",
            "address_2": "SUITE G",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045500",
            "telephone_number": "209-464-9846",
            "fax_number": "209-464-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N CALIFORNIA ST",
            "address_2": "SUITE G",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045500",
            "telephone_number": "209-464-9846",
            "fax_number": "209-464-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMP",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G46401",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G46401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G464010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.